836 NE 100 St (5)Permit No. ___ /
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or (Abel
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
Owner's Name and Address. Gaines__.Qon9t.__Gn. No Street
Registered Architect and /or Engineer_.__.
Employing Plumber's Name J.1 Ms Council No..___._ ...___ . _.__ Street
Location and Legal Description / � B1occk___._ _.... , a. Subdivision_.bii._
Street and Number where work is to be performed —No $ tP ! _��1 � Street_
State work to be performed and purpose of building (By Floors)...
New Building Remodeling Addition__._ Repairs No. of Stories 1
Size Septic Tank Type of Tank__
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
IV
Nature of Water Supply: City —Well city. - Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
'� � — — - — — ( Signed).
'Capacity Gals._
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and ha .s com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as art
licensed by Miami Shores Village.
(Signed)
Date Juno ___9,,._1953
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally :ippeare
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fay
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
Master Plumber.
NOTE: A r spection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or full
materials and/ workmanship.
CLOSETS
BATH
Tu6S
SHOWERS
LAVA-
TORIES
S INKS
SLOP
SINKS
LAUNDRY
Tura
I NALS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURE!
CONTR.
LIST
2
1
1
2
1
7
CHECK
/ 7'
?
s
e�
l 4
(,
t
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
- GOt*fl
,. HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIFT
/
_ �_
/
CHECK
/013
Permit No. ___ /
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or (Abel
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
Owner's Name and Address. Gaines__.Qon9t.__Gn. No Street
Registered Architect and /or Engineer_.__.
Employing Plumber's Name J.1 Ms Council No..___._ ...___ . _.__ Street
Location and Legal Description / � B1occk___._ _.... , a. Subdivision_.bii._
Street and Number where work is to be performed —No $ tP ! _��1 � Street_
State work to be performed and purpose of building (By Floors)...
New Building Remodeling Addition__._ Repairs No. of Stories 1
Size Septic Tank Type of Tank__
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
IV
Nature of Water Supply: City —Well city. - Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
'� � — — - — — ( Signed).
'Capacity Gals._
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and ha .s com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as art
licensed by Miami Shores Village.
(Signed)
Date Juno ___9,,._1953
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally :ippeare
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fay
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
Master Plumber.
NOTE: A r spection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or full
materials and/ workmanship.
r
Permit No..._ . '�?��
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address. °.: .... _��` re No Street -
Registered Architect and /or Engineer
Employing Plumber's Name. -. ...__ No.__ Street
Location and Legal Description -- __
..... -- -_ -_ -- �� / Bl .______._..._.-- _- _ - -.___ .._.__. Subdivision
Street and Number where work is to be performed —No. _�e : - � • Street
State work to be performed and purpose of building (By Floors)_
New Building . Remodeling Addition.-._ .....
.__._.__._..
Size Septic Tank . -._6 e v - Type of Tank_._ P..- - - - - -- - - -.._ ._..- .-- .- ._...- - - - - -. Capacity Gals. _.6 .
Feet of Drain Tile - 24 _. - ° . _ Dist. Feet of Tank or Drain Field from Well
Size of Soakage I'it
Nature of Water Supply: City —Well .
Amount of Permit $
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as at, employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, ss,
COUNTY OF DADE.
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all lac
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or foul
materials and /or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
— —_ ( Signed) _
Date
No. of Stories
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .ippeare
My Commission Expires Notary Public, State of Florida
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
S INKS
SLOP
SINKS
LAUNDRY
um;
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKI NO
FOU NY' NS
TOTAL
FIXTURE!
C orm.
LIST
--
'-
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WILL
SPRKLR.
SYSTEM
SWIM'O
POOL
CONTR.
LIST
CHECK
•
Permit No..._ . '�?��
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address. °.: .... _��` re No Street -
Registered Architect and /or Engineer
Employing Plumber's Name. -. ...__ No.__ Street
Location and Legal Description -- __
..... -- -_ -_ -- �� / Bl .______._..._.-- _- _ - -.___ .._.__. Subdivision
Street and Number where work is to be performed —No. _�e : - � • Street
State work to be performed and purpose of building (By Floors)_
New Building . Remodeling Addition.-._ .....
.__._.__._..
Size Septic Tank . -._6 e v - Type of Tank_._ P..- - - - - -- - - -.._ ._..- .-- .- ._...- - - - - -. Capacity Gals. _.6 .
Feet of Drain Tile - 24 _. - ° . _ Dist. Feet of Tank or Drain Field from Well
Size of Soakage I'it
Nature of Water Supply: City —Well .
Amount of Permit $
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as at, employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, ss,
COUNTY OF DADE.
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all lac
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or foul
materials and /or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
— —_ ( Signed) _
Date
No. of Stories
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .ippeare
My Commission Expires Notary Public, State of Florida